1 April 2020 Summary • Analysis of 17 universities reveals a continued rise in staff access to counselling and occupational health referrals since Pressure Vessels was published in 2019. • From 2016 to 2018, there was an increase of 16% in counselling at the 14 universities for which comparable time series data were obtained. 1 • Over the same period of time, there was a rise of 19% in occupational health referrals at the 16 universities for which comparable time series data were obtained. 2 • From 2009/10 to the end of 2017/18, at those five universities reporting complete data, there was a rise of 172% in staff access to counselling. • At all 17 universities, there has been a rise in staff access to counselling of 155% in recent years. The highest increases were at the University of Bath (500%), the University of Kent (325%) and Keele University (203%). • At the 10 universities with data for 2009 to 2018, occupational health referrals rose by 170%. The largest occupational health referral increases were at Kent (500%), De Montfort (392%) and Bristol (334%), although there was a fall of 75% at Bath. • For counselling and occupational health, the figures reflect gender differentiation, with women more highly represented. • There is also a pattern corresponding to contract type: for occupational health data, we find the largest proportion of individuals being referred are professional services staff. • While greater use of support services may sometimes reflect improved access, the analysis provides strong support for our claims about the declining mental health of university staff. Pressure Vessels II: An update on mental health among higher education staff in the UK Dr Liz Morrish, Visiting Fellow at York St John University, and Professor Nicky Priaulx, Professor of Law, School of Law and Politics at Cardiff University April 2020 HEPI Policy Note 23
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Pressure Vessels II: An update on mental health among higher … · 2020-04-29 · 2 April 2020 1. Introduction and context Pressure Vessels The HEPI Occasional Paper, Pressure Vessels,
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• There is also a pattern corresponding to contract type: for occupational healthdata,wefindthelargestproportionofindividualsbeingreferredareprofessionalservicesstaff.
TheFreedomofInformationrequestssoughtinformationrelatingtothenumberofuniversityemployeesaccessingcounsellingservicesandreferredtooccupationalhealth(somein-houseservices and some via EmployeeAssistance Programmes), to gain insight into trends from2009/10to2015/16.
The data in Pressure Vessels were obtained by Freedom of Information requests from 74institutionsfortheperiodfrom2009/10to2015/16.ThisPolicyNoteconcentratesonasmallerselectionofuniversities.Workingwithasmallerdatasetprovidestheopportunityfordeeperanalysis.
ThelatestFreedomofInformationrequestswereraisedfromJunetoAugust2019andfocusedon 17 universities. These sought to elicit comparable information, notably staff numbersaccessing counselling and referrals to occupational health for the 2016/17 and 2017/18academicyears.
The17universitiesinquestionmetanumberofcriteriaforselection.Mostofthemprovidedmeaningfuldataonbothaccess tocounsellingandoccupationalhealth referrals, so trendsandcorrelationsbetweenthemcanbemapped.4
Although more use of such services can sometimes reflect welcome improved access tosupport,theanalysisprovidesstrongsupportforourclaimsaboutthedecliningmentalhealthofuniversitystaff.
Whilecomprehensivenessofcounsellingandoccupationalhealthdataistheleadconsideration,some institutions were of particular interest because of sudden or sustained increases inreferralstooccupationalhealthandcounselling.InPressure Vessels,forexample,thiswasseentobethecaseattheUniversityofKentandWarwickUniversity.Thelatterinstitutiondismissedthereportas‘fouryearsoutofdate’.5
Amongall17universities,wefindsomeverylargeindividualincreasesinreferralratesacrossthenine-yearperiodandthedataareshowninthetablebelow.Rise in access to counselling referrals (%)
Institution Years IncreaseUniversity of Bath 2010/11to2017/18 500University of Kent 2009/10to2017/18 325Keele University 2010/11to2017/18 203University of Reading 2012/13to2017/18 185University of Bristol 2009/10to2016/17 179University of Warwick 2009/10to2017/18 171Newcastle University 2009/10to2017/18 160De Montfort University 2011/12to2017/18 144University of Durham 2012/13to2017/18 136University of Exeter 2012to2018(calendaryears) 127University of Hull 2009/10to2017/18 109University of Surrey 2012/13to2017/18 97University of Dundee 2009/10to2017/18 94Cardiff University 2009/10to2016/17 77University of Cambridge 2014/15to2017/18 62University of Portsmouth 2009to2018(calendaryears) 33Nottingham Trent University 2017to2018(calendaryears) 29
Womenaremorelikelythanmentoaccessstaffcounselling.Thegraphshowsthepercentageof the total numbers accessing counsellingwho are female,male and a categorywehavelabelledas‘Other’.
Percentage of those accessing counselling by gender
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2009 2010 2011 2012 2013 2014 2015 2016 2017
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1919141412
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5857596164696870
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Men % Women % Other %
Occupational health referrals, 2009/10 to 2017/18
The figures in the new investigation reveal a continued upward trajectory in access tooccupational health services, with an aggregate increase in referrals of 19% since Pressure Vessels inthe16institutionsforwhichwehavecomparabledata.
• TheUniversityofBristol,whichhas recentlyacknowledgedtheneedto improvestudentwelfare after some high-profile problems, has seen an increase in staff referrals tooccupationalhealthof334%.
Thetablebelowshowsthat,whiletherearesomemodestrisesinreferrals,theoverallupwardtrajectory is large and raises important questions regarding managerial responsibility forremediationofwork-relatedstress.
5April 2020
Rise in access to occupational health referrals (%)
Institution Years IncreaseUniversity of Kent 2009/10-2017/18 500Keele University 2011/12-2017/18 460De Montfort University 2009-2018(calendaryear) 392University of Bristol 2009/10-2017/18 334University of Cambridge 2009/10-2017/18 259University of Durham 2009-2017 150Cardiff University 2014/15-2017/18 130Nottingham Trent University 2011/12-2015/16 80University of Reading 2011-2017 66University of Portsmouth 2009-2018(calendaryears) 64University of Hull 2009/10-2017/18 53University of Warwick 2010-2018(calendaryears) 52University of Surrey 2009-2017 41University of Exeter 2014/15-2017/18 36Newcastle University 2009/10-2017/18 10University of Dundee 2013/14-2017/18 -1University of Bath 2009/10-2017/18 -75
It is hard to avoid the conclusion reached by Erickson et al that the morale andmentalhealthofhighereducationemployees in theUKhavebeendamagedby‘thewoeful stateofmanagementandgovernanceintheUKHEsector’.11Wecanrecognisethatmanagersarealsosubjecttoahighriskofworkplacestressandtheymustfrequentlyrespondtochangingdemandsfromgovernmentaswellastryingtomeettheneedsoftheirstaff.However,itseemsmanagementteamsarerarelyheldtothesamestandardsofaccountabilityasotherstaff.
Erickson et al asked 5,888 academics to evaluate the senior management teams of 78universitiesinasatisfactionsurveysimilarinscopetotheNational Student Survey.Themeanscoreacrossthesector foruniversitystaffsatisfiedwiththeirseniormanagementwas11%.Thehighest-scoringinstitutionscored37%andthelowest0%.TheissuesidentifiedasdrivingdissatisfactionresonatewiththeconclusionsinPressure Vessels:
The seven major themes were the dominance and brutality of metrics; excessive workload; governance, accountability and HE ‘fantasy football’; perpetual change and the loss of institutional memory; vanity projects; the silenced academic; and work as a mental health hazard.12
ThefindingsofastudybySiobhanWrayandGailKinmanalsolendsupporttotheconclusionsofPressure Vessels thatworkloads,additionaldemands,and incursions into thecontrol thatacademicshavetraditionallymaintainedovertheirwork,haveallcontributedtoanincreasinglystressful and unsafe working environment.13 Their report has usefully applied the HealthandSafety Executive’smanagement standards indicator tomeasure and compare levels ofpsychologicalhazard.Thefindingsquantifytheperceptionsofacademicsthattheirworkingenvironmentshavequiterapidlydeterioratedintoasituationwhereurgentactionisrequired,andindeedmandated,bytheHealthandSafetyExecutive.
Surveillance,paceofchange,precarity,threatsofredundanciesanddecreasedautonomyarearecipeforwidespreadmentalillnessthroughoutthesector.Pressure Vesselsalsodetailedhowimpositionofnewworkloadallocationmodelshasledtoanincreaseinworkloaddemands,whileensuringthatmanytasksareundercountedintermsofhoursorarerenderedinvisible.Management by metrics (papers published, Research Excellence Framework ‘star’ ratings,citations,journalimpactfactors,grantmoniesearned,teaching,National Student Surveyscoresand so on), often dignifiedwith the term‘performancemanagement’, also guarantees theworkingenvironmentispunishingandstressful.
Staffcomplaintsaboutwork-relatedpressurecanonlybeignoreduntilthesicknessmountstoacriticalpoint.ThiswasthecaserecentlywhenAbertayUniversitysuspendedrecruitmentto its two-yeardegreesafter staffcomplainedofadditionalworkloadpressures.18This isaninstitutionwhichhasrecentlyundergonewide-scalereformsinteachingandlearning,whileatthesametimemakingredundancies.19
Employee turnover in the sector remains low relative to external benchmarks and has fallen since the 2017 survey. Across all UK HEIs, HESA data show a median resignation rate of 7.6% in 2017–18, based on all staff employed on open-ended contracts and total turnover was 11.8%. Rates of turnover at Pre-1992 HEIs are slightly lower. The median resignation rate in the wider economy was 12.9% in 2018 according to an XpertHR survey of 349 private and public sector organisations with median total turnover standing at 18.8%.22
10 April 2020
Priaulx and Davies’ findings highlight a problem with accuracy in the UCEA method ofcalculating academic staff turnover but also its benchmarking. UCEA excludes all staff onfixed-termcontracts andcalculatesstaffturnoveronthebasisofopen-endedcontractsonlybutbenchmarks theirfiguresagainstsectorswhich include theveryemployeepopulationsUCEAexcludes.PriaulxandDaviescallthismethodofcalculatingturnover‘atoolofstrategicignorance’. They offer revised figures to include fixed-term staff, who when employed onteaching contracts also count towards the‘student staff ratio’, and these show higher andfluctuatingratesofstaffturnoveracrossthesector.In2016/17,theaveragestaffturnoverrateacrossthesectorwas17%(16%median).Acloserlook,however,highlightsthisproblemwithinspecifichighereducationinstitutions.Forexample,theturnoverfiguresfor2017/18highlightthat27%oftheLondonSchoolofEconomics’sacademicstaff‘left’theorganisationacross12months.
Ifthesectorasawholecannotbeopenaboutthescaleofthementalhealthcrisis,theevidentcauses,thegenderedeffects,thecontributionofcasualisationandtheresultinglossofstaffthroughturnover,weareplacingcareersandthefutureofresearchatrisk.Aswe,hopefully,emergefromtheglobalCovid-19pandemic,highereducationwillfaceaseriesofchallengeswhichwillnodoubtbebothfinancialandorganisational.Theonlycertaintyisthatthementalhealthof thevastmajorityof itsworkforcewillhavebeenadverselyaffected.Therewillbean increaseddemandforsupportservices, forsustainableworkloadsandforareductionofroutine accountability exercises like theTeaching Excellence Framework and the ResearchExcellenceFramework.23
The previous Minister for Science, Research and Innovation, Chris Skidmore, appealed forsustainablecareerpathwaysinacademiaandresearch.24Itwasencouraging,butitisnowtimeforhissuccessorstofollowthisrecognitionwithactiontoensurethatallofuswhocareabouthighereducationmovetoaddressthem.
4. Recommendations
Pressure Vessels made a number of recommendations, including: more realistic workloadallocations;moreresponsibleuseofmetrics;betterperformancemanagementpolicies;andacommitmentbyuniversitiestosustainablecareers.Butthoseinvolvedintheplanningandmanagementofuniversitiesnowneedtogofurtherby:
• recognisingworkplace stress in academia is increasing and referrals to counselling andoccupationalhealthshouldbeconsistentlyandaccuratelydocumented;
• recognising stress can be caused by structural problems, such as overwork, insecurity,uncertainty, excessive surveillance anddecreasedautonomy - thesemustbe addressedsector-wideandcannotberemediedby‘wellness’programmes;
Aboveall,institutionsshouldreciprocatethededicationofuniversitystaffwithacommitmentnot to exploit that loyalty.Workload allocations and targets shouldbemanageablewithincontractualhours.
3 LizMorrish,Pressure Vessels: The epidemic of poor mental health among higher education staff, HEPI OccasionalPaper 20, 2019 https://www.hepi.ac.uk/wp-content/uploads/2019/05/HEPI-Pressure-Vessels-Occasional-Paper-20.pdf
5 This is incorrect, however. The Freedom of Informationrequestwas raised in 2017, andWarwickprovideddataon Counselling for the 2009/10 to 2015/16 academicyears.Theycouldhavechosentoprovideinformationfor2016/17 as some others did.When Pressure Vessels waspublished,wewerestillinthe2018/19academicyearsocompletefigurescouldnotbeprovidedforthatyear.
6 Notall‘otherreferrals’havebeenincludedinthefiguresfortheanalysis.Someinstitutionsdeclaredthatoccupationalhealthperformsservicessuchashealthscreeningfornewstaff,orvaccinationsforparticulargroupsofstaff,whichwereexcludedwheretheycouldbeidentifiedinordertofocus on management referrals and, where applicable,self-referrals.
7 Someuniversitiesprovideddifferentfiguresforthesameyear:some institutionsprovidingthe2016/17data forasecond time reported figures which were significantlylowerthanhadbeenreportedinresponsetotheearlierrequest.AnymethodologicalconcernsarehighlightedintheAppendicesonline.
8 See the online Infogram appendices provided by theBumpy Landing Project for visualisations of all 17 HEIs.Appendix 1: https://infogram.com/probe-appendix-1-cardiff-de-montfort-keele-newcastle-nottingham-trent-bath-bristol-and-cambridge-1hmr6gzg7dlz2nlAppendix 2: https://infogram.com/probe-appendix-2-dundee-exeter-hull-kent-portsmouth-reading-surrey-warwick-and-durham-1h9j6qkd8y1v6gz?live
academicwork:Ananalysisoftrends(2008–2014)’,Paperpresentedat theSociety for Research in Higher Education Conference,December2019,Newport
14 Delta: Journalistic platformTU Delft, 2020. Overworkedacademics are taking their concerns to the LabourInspectorate https://www.delta.tudelft.nl/article/overworked-academics-are-taking-their-concerns-labour-inspectorate
17 EllieBothwell,‘ForeignstaffcallforclarityoverBirminghamattendance policy’, Times Higher Education, 29 January2019 https://www.timeshighereducation.com/news/foreign-staff-call-clarity-over-birmingham-attendance-policy
18 Anna McKie, ‘Abertay “pauses” shorter degrees as staffcomplain of “pressure”’, Times Higher Education, 30December 2019 https://www.timeshighereducation.com/news/abertay-pauses-accelerated-degrees-staff-complain-pressure
19 Alastair Robertson, Developing a new whole institutional approach to teaching and learning enhancement, HigherEducation Academy, 2016 https://www.heacademy.ac.uk/sites/default/files/downloads/developing_a_new_whole_institutional_approach_to_teaching_and_learning_enhancement_-_abertay_university.pdf StefanMorris,‘Upto20jobscouldbeaxedatAbertayUniversityin cost-cuttingmove’, The Courier, 17May 2019 https://www.thecourier.co.uk/fp/news/local/dundee/893952/up-to-20-jobs-could-be-axed-at-abertay-university-in-cost-cutting-move/